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Transhepatic Portography and Portal Vein Embolization

Date: Dec 22, 2014

Question:

"Patient with metastatic gallbladder cancer to the right lobe of the liver and segment 4. This procedure is being performed to increase the size of the future liver remnant in preparation for extended right hepatectomy. Patient presents today for right portal venous embolization for future extensive hepatic resection. Puncture of a branch of the right portal vein via intercostal approach. Catheter was then reformed and positioned in the main portal vein (36481) with portography and evaluating suitable portal veins for embolization (75887-59). Catheter was manipulated into the left portal vein, subsegment 4A and 4B branches of the left portal vein, and selective portogram was performed followed by embolization with plug and coils." We are hoping to get your thoughts on selected codes please. Should we report code code 37241 or 37243 for embolization in this case?

Question ID : 6155
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